Holistic Wellness Practitioner Directory Application Form
The SolFlowers Holistic Practitioner Directory is in development. This directory will be available on the website as a premiere resource for BIPOC Holistic Wellness. Centering the wellness needs of BIPOC, LGBTQI and other marginalized communities, the directory will offer resources for a wide variety of holistic practitioners, including energy and spirit healers. You may list up to five healing modalities you practice. 
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First Name *
Last Name *
Primary Business Email *
Phone number *
Business Name *
Business Email for Potential Clients *
Business Location/s *
Business Location/s Served (List all areas served)
Brief Biography (Limit to 200 words) *
Business Website *
Which holistic modalities do you practice? (Please limit to five choices.) *
Required
List Certifications in Holism *
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